Provider Demographics
NPI:1336256114
Name:RAMPAL, ANGELIKA (MD)
Entity type:Individual
Prefix:DR
First Name:ANGELIKA
Middle Name:
Last Name:RAMPAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1830 TOWN CENTER DRIVE
Mailing Address - Street 2:SUITE 205
Mailing Address - City:RESTON
Mailing Address - State:VA
Mailing Address - Zip Code:20190-3236
Mailing Address - Country:US
Mailing Address - Phone:703-435-3636
Mailing Address - Fax:703-435-9145
Practice Address - Street 1:1830 TOWN CENTER DRIVE
Practice Address - Street 2:SUITE 205
Practice Address - City:RESTON
Practice Address - State:VA
Practice Address - Zip Code:20190-3236
Practice Address - Country:US
Practice Address - Phone:703-435-3636
Practice Address - Fax:703-435-9145
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2014-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA84907208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR0053510Medicaid
CA00A849070Medicaid
CA00A849070Medicaid
CAI25339Medicare UPIN
CAWA84907AMedicare ID - Type Unspecified